Obstetrics and Gynecology

kadindogum.jpg Obstetrics and gynecology offers services 24/7 with a state-of-art technological equipments in several areas such as general women's health, gynecological diseases, menopause, osteoporosis, physical development of the mother before pregnancy, sufficiency of nutrients during pregnancy, maternal health and birth process starting with stages of monitoring the baby in mother's womb, controlling and monitoring mother's and baby's health after birth and monitoring during risky pregnancies.
- Monitoring pregnancy with the state-of-art technology, 4D ultrasonography imaging
- Pregnancy training programs
- Female genital system cancers screening program 
- Infertility researches and treatment programs
- Birth Control and family planning
- Menopause monitoring programs
Female Genital System Diaseases  and Treatments  
- Medical and surgical (laparoscopic) treatment of ovarian cysts
- Medical and surgical treatments of
- Menstrual bleeding disorders
- Early diagnosis, treatment of Cervical cancer and HPV vaccine
- Treatment options of Polycystic Ovary Syndrome
- Biopsy and diagnostic curettage applications
- Medical treatments of hormonal disorders
- Gynecologic examination
- Ultrasonography
- Medical solutions and surgeries for urinary incontinence
- HPV infection and treatment of genital warts
- Medical and surgical treatment of uterus myoma
- All hysteroscopic and laparoscopic surgeries
- Diagnosis and treatment of repeating miscarriages
- Colposcopic examination
- Smear


Painless Normal Birth (Epidural Analgesia)

Labor pain can be very versatile and often very severe.  For some women it is the most severe pain in their entire lives.  Labor isn’t only painful for the mother but also causes physiological stress and causes the mother to fall very tired. 

Epidural “painless childbirth” or “ princess birth” is a method which eliminates the sensation of pain.  Unlike general anesthesia which is used during Cesarean births where the mother is not awake or aware, the use of epidural gives the mother perception of what is happening.  Prefered by most mother who opt for normal delivery, epidural is the most common method for painless birth.

How does Painless Birth Work?

Epidural anesthsia is injected through a catherer in the lower back region of the body.  Mothers are able to feel touching and pressure, they can even get up and walk while under effects of epidural. An anesthesiologist will explain the process and answer any questions they may have.

Anesthesiologists will position mothers on their side, lying down or in a sitting position. He or she the inspects the area where the epidural will be applied.  The area will be cleaned off with an antiseptic and covered with a sterile layer.  An injection is first given to the mother to numb the pain of the epidural needle.  It is very important that the mother be absolutely still during the insertion of the cartherer.  The anesthesiologist will pump more doses as necessary.

Normally 15 minutes after the drug is administered the mother to be will feel no pain while having contractions. Addititonal doses may be given if the effects decrease and bşrth is prolonged.  Depending on the patients request, the catherer that is placed in the back can be removed immediately after birth or anywhere between 24 to 48 hours.
Anesthetic epidural catheter insertion process is extremely easy, painless and comfortable for the patient.

What are the advantages of Painless birth?

-       Epidural anesthesia is the best method for a pain free natural birth.

-       When used at the right time and correct dosage this method can accelerate the birthing process.

-       Patient may walk after adminşstration.

-       Epidural anesthesia does not make you feel dizzy or sick in any way.  It also does not stop bowel movement or the passing of gas.

-       Psychological relaxation increase your chances of normal delivery by regulating  the muscle spasm.

-       Mother will not feel weak or too tired after birth.  This will make it easier to car efor and feed the newborn.

-       When administered by professionals, patient will not have a headache.  Only 1 % of patients get a headache as a result of the epidural.

-       The opening of the episiotomy and its repair are also pain free due to the effects of epidural.

-       In the case of Cesarean delivery a higher dosage of epidural can be administered through the catherer and the operation can be performed without general anesthesia.

-       The golden Standard of a normal delivery is Epidural anesthesia.

Who qualifies for Epidural Anesthesia?

It is rare that a patient doesn’t qualify for epiduarl anesthesia.  This type of anesthesia method should not be used on patient who has current active bleeding, fluid loss, blood pressure due to excessive bleeding, burn victims, neurological diseases and brain tumors. It also should not be used on patients who have mental defects and platlet count under 100,000.

When should Epidural Anesthesia be used?

Once cervical contractions become regular and thin out by about 60-70 % and dilation has reached 4 cm, the mother will begin to feel serious pain.  This is the proper time for the application of the Epidural Anesthesia.   Doing so before will delay contractions and lengthen the birthing process. 

What are the risks of Epidural Anesthesia?

- Side effects of eidural anesthesia are very rare when adminşstered by an experienced specialist.

- The most common side effect is low blood pressure. In order to avoid this fluids are loaded before the epidural.

- Application may be difficult in those patients who are overweight.

- The application process may be a failure and patient may feel everything during birth.

- As a result of the epidural needle being injected intp the cerebrospinal fluid Spinal anesthesia may occur and patient may become numb from waistdown.  Patient may also suffer from headaches after birth.

- Headaches tend to occur in those patient who move during the process of insertion of the epidural.  By drinking lots of fluids, especially those that contain caffeine. Bed rest while lying on the back will give positive results within 7-15 days.

- Second stage of birth may be prolonged.

- Rare occasions of difficulty Urinating

- Rare occasional infection can be seen where the catherer was inserted.

- Some patients may have mild allergic reactions.  Regional, temporary itching that will go away on its own or with an over the counter allergy solution.

- Neurological complications in childbirth like; weakness in legs or incontinence can may occur (1 out of 183,000).  Rarely, 1 out of 145,000 may get an infection ; 1 out of  257,000 women may have a permanent neurological injury

Will the Mediations used with the Epidural Anesthesia have a negative effect on the baby?

These drugs are not harmful to the baby when administered in appropriate dose to a particular region. Very low dosages are administered.  Most of the time by the time it the medication passes through the placenta, most of its effect wears off.  Mothers who breath properly will give birth to a more lively baby.  Babies are monitored very closely for the firth 30 minutes after the epidural.

Are the rumors of being crippled after Epidural Anesthesia true?

Catheters used in childbirth pain are placed outside the membranes covering the spinal cord. Fluids from the mothers back are not drawn. There is no harm in using this technique. On the contrary to existing beliefs, mothers who use epidural are able to return to normal and care for their newborns in a very short period. 

Can epidural cause back pain?

With or without epidural, 1 out of 3 women will suffer from back pain.  Most of the time this is due to the weight shift to the middle of the mothers body and then the sudden change after birth.Epidural rarely causes back problems in those who do not have an existing condition prior.  Epidural for birth can be used for those who have back pain.Epidural Anesthesia is good for both vaginal and cesaream births as a modern medicine approach.  Every mother should be encouraged to take advantage of this method.



Are Uteral fibroids and polyps causes of infertility?

Are Uteral fibroids and polyps causes of infertility?

Both fibroids and polyps are benign. Polyps form in the iner layer of the uterus.  Although most of the time fibroids and polyps don,t show any side effects sometimes they can cause complaints.  The most common complaints are abnormal bleeding, groin and stomach pain, fullness in the groin area and pressure.  Uteral fibroids and polyps don’t necessarily lead to infertility however due to their location can effect fertility.  The location of these growths can make it difficult for the sperm to reach the egg and prevent the embryo settlement in the womb.  As the fibroids become larger the endometrial layer stretches and the blood supply becomes disrupted.  In this case, even if the embryo settles in the uterus, the chances to miscarry are high due to the lack of blood supply.  Getting rid of fibroids can be done through minor operations and medication. Hysteroscopic removal of polyps is possible.

What is ectopic pregnancy?

What is ectopic pregnancy?

Ectopic pregnany is when the pregnancy develops outside of the womb.  Sexually transmitted diseases are among the risk factors for ectopic pregnacies.  Ectopic pregnancy symptoms include vaginal bleeding or a positive pregnancy test.  Necessary treatment depending on the location and size of the ectopic pregnancy is planned. Ectopic pregnancy usually requires intervention.  In the case of very early pregnancy medical treatments can be applicable.

Those with a history of colon cancer in their family also have a history of ovarian cancer?

Those with a history of colon cancer in their family also have a history of ovarian cancer?

Yes, Ovarian cancer and colon cancer have a commanility that increases the risk factors.

At what age should I start having mammograms?

At what age should I start having mammograms?

There are many different opinions regarding this issue.  On average it is recommended that women over the age of 40 undergo mammograms annually. Your doctor can decide if you are in the high risk rate at what age you should begin having mammograms.

What are the signs and symptoms of menopause?

What are the signs and symptoms of menopause?

The amount and duration of periods and irregular cycles can be signs of the earlier stages of menopause.  Hot flashes, sweating and insomnia are all common in menopause.  Some wpmen don’t see any of these symptoms. Hormone tests can be performed to rule out any other factors.

What are the signs and symptoms of cervical cancer?

What are the signs and symptoms of cervical cancer?

Cervical cancer can be asymptomatic in the early stages. As stromal invasion progresses, the disease becomes clinically evident. Showing a variety of growth patterns that can be seen in the genital tract examination. Early lesions; bleed when touched, vulgar, seen as reddish granular areas.

Moderately advanced or advanced invasive cervical cancer in these women who often have one or more of the following symptoms. These include a lack of appetite, weight loss, fatigue, pelvic pain, back pain, leg pain, unilateral swollen legs and excessive bleeding.  Also; intermenstruel bleeding, postcoital bleeding, excessive discharge, recurrent cystitis, backache, lower abdominal pain, edema of the lower extremities, obstructive uropathy, bowel obstruction, dyspnea connected to severe anemia and cachexia are some of the other symptoms that can be seen.Other symptoms in cervical cancer are pain during sexual intercourse and increase in vaginal discharge. Vaginal discharge and pain during intercourse can also be signs of cervical cancer.  In the later stages of the cancer can spread to other parts of the body.  Bleeding and foul smelling discharge along with swellings or lesions can be seen. As invasion increases,the vagina, parametrial pelvic wall kept bladder and rectum. Depending on the compression produces advanced regional disease causes ureteral obstruction which results in hydronephrosis and eventually develops into kidney failure.

In addition to local invasion is metastasis to regional lymph nodes. Metastatic cancer can spread out of the capsule of the lymph nodes in the para-aortic lymph nodes and can directly effect the vertebrae and nerve roots,making way for back pain. Direct invasion of the branches of the sciatic nerve roots lead to back, waist and leg pain; The compression of the pelvic wall veins and lymphatics causes edema in the legs.




How is ovarian cancer diagnosed?

How is ovarian cancer diagnosed?

Because the ovaries are inside the groin, early diagnosis of ovarian cancer is difficult. Most women have a complaint that leads to the finding of the cancer. Determination of mass in this region during gynecological examination allows the doctor to ask for a number of tests. CA-125 (Blood test) is used for high detection for diagnosis.  This test is also used to determine whether or not treatment is useful to the patient.

What are Kegel exercises?

What are Kegel exercises?

Kegel exercises are the most effective natural way to control and prevent incontinence. Doing kegel exersices are really easy and the benefits are many. Kegel exersices will help strenghten the muscles in you pelvis as well as your bladder. Men can also do Kegel exersices for the same benefits.Pause while you urinate. This is what kegel exersices will feel like.  What you are really doing is tightening your pelvic muscles.  Doing 10 sets 3 to 4 times a day is recommeded. Kegel exersices can be done anywhere at anytime without anyone noticing.

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